Sarah Michelle Live Review Study Guide
– 100+ Practice Questions & Verified
Answers for Nurse Practitioner Exam
Prep (PDF)
,
,NP Board Practice Exam
1. A 68-year-old male with a history of HTN and HF presents for a routine visit.
On auscultation, the nurse practitioner hears a low-pitched sound in early
diastole that sounds like "Kentucky." This is most likely:
A) S4
B) S3
C) Aortic Stenosis
D) Mitral Valve Prolapse
Answer: B
Rationale: An S3 is a ventricular gallop occurring in early diastole, often indicating
fluid overload or heart failure. The mnemonic "Kentucky" helps recall the cadence
of an S3 gallop.
2. A new graduate NP completes a Weber test on a patient with Ménière's
disease. What is the expected finding?
A) AC is 2 times longer than BC
B) BC is 2 times longer than AC
C) The tuning fork lateralizes to the affected (right) ear
D) The tuning fork lateralizes to the unaffected (left) ear
Answer: D
Rationale: In Ménière's disease (sensorineural hearing loss), sound lateralizes to
the unaffected ear on the Weber test. The affected ear cannot perceive the sound
as well.
3. A 24-year-old female presents with a "beefy red" tongue and tingling in her
feet. Her CBC shows a macrocytic anemia. Which lab should the NP order next?
A) Ferritin
, B) Vitamin B12 and Folate levels
C) Lead level
D) Hgb A1C
Answer: B
Rationale: Macrocytic anemia with neurological symptoms (tingling/paresthesia)
is the hallmark of B12 deficiency.
4. According to the latest GINA guidelines, what is the preferred rescue
management for a patient with intermittent asthma?
A) Albuterol (SABA) alone
B) Salmeterol (LABA) alone
C) Low-dose ICS-Formoterol as needed
D) Oral Prednisone
Answer: C
Rationale: GINA now recommends ICS-Formoterol (Symbicort) as the preferred
reliever to reduce the risk of severe exacerbations.
5. A patient on Warfarin (Coumadin) for Atrial Fibrillation has an INR of 1.5.
What is the most appropriate action?
A) Hold the next dose and give Vitamin K
B) Increase the weekly dose
C) Maintain the current dose and recheck in one month
D) Decrease the dose
Answer: B
Rationale: The therapeutic INR for AFib is 2.0–3.0. A result of 1.5 is subtherapeutic,
meaning the patient is at increased risk for a stroke and requires a dose increase.
6. Which of the following antibiotics is the first-line treatment for a patient who
was bitten by a neighbor's cat?
– 100+ Practice Questions & Verified
Answers for Nurse Practitioner Exam
Prep (PDF)
,
,NP Board Practice Exam
1. A 68-year-old male with a history of HTN and HF presents for a routine visit.
On auscultation, the nurse practitioner hears a low-pitched sound in early
diastole that sounds like "Kentucky." This is most likely:
A) S4
B) S3
C) Aortic Stenosis
D) Mitral Valve Prolapse
Answer: B
Rationale: An S3 is a ventricular gallop occurring in early diastole, often indicating
fluid overload or heart failure. The mnemonic "Kentucky" helps recall the cadence
of an S3 gallop.
2. A new graduate NP completes a Weber test on a patient with Ménière's
disease. What is the expected finding?
A) AC is 2 times longer than BC
B) BC is 2 times longer than AC
C) The tuning fork lateralizes to the affected (right) ear
D) The tuning fork lateralizes to the unaffected (left) ear
Answer: D
Rationale: In Ménière's disease (sensorineural hearing loss), sound lateralizes to
the unaffected ear on the Weber test. The affected ear cannot perceive the sound
as well.
3. A 24-year-old female presents with a "beefy red" tongue and tingling in her
feet. Her CBC shows a macrocytic anemia. Which lab should the NP order next?
A) Ferritin
, B) Vitamin B12 and Folate levels
C) Lead level
D) Hgb A1C
Answer: B
Rationale: Macrocytic anemia with neurological symptoms (tingling/paresthesia)
is the hallmark of B12 deficiency.
4. According to the latest GINA guidelines, what is the preferred rescue
management for a patient with intermittent asthma?
A) Albuterol (SABA) alone
B) Salmeterol (LABA) alone
C) Low-dose ICS-Formoterol as needed
D) Oral Prednisone
Answer: C
Rationale: GINA now recommends ICS-Formoterol (Symbicort) as the preferred
reliever to reduce the risk of severe exacerbations.
5. A patient on Warfarin (Coumadin) for Atrial Fibrillation has an INR of 1.5.
What is the most appropriate action?
A) Hold the next dose and give Vitamin K
B) Increase the weekly dose
C) Maintain the current dose and recheck in one month
D) Decrease the dose
Answer: B
Rationale: The therapeutic INR for AFib is 2.0–3.0. A result of 1.5 is subtherapeutic,
meaning the patient is at increased risk for a stroke and requires a dose increase.
6. Which of the following antibiotics is the first-line treatment for a patient who
was bitten by a neighbor's cat?
